Stephen Balter

Summary

Affiliation: Columbia University
Country: USA

Publications

  1. ncbi request reprint Comparison of four techniques to estimate radiation dose to skin during angiographic and interventional radiology procedures
    Douglas W Fletcher
    Department of Radiology, National Naval Medical Center, Bethesda, Maryland, USA
    J Vasc Interv Radiol 13:391-7. 2002
  2. ncbi request reprint Burning to succeed?
    Stephen Balter
    Catheter Cardiovasc Interv 71:165. 2008
  3. pmc Methods for measuring fluoroscopic skin dose
    Stephen Balter
    Department of Medicine, Columbia University Medical Center, 630 West 168th St, New York, NY 10032, USA
    Pediatr Radiol 36:136-40. 2006
  4. doi request reprint On the acceptability of fluoroscopic systems for clinical use
    S Balter
    Department of Radiology, Columbia University, New York, NY, USA
    Radiat Prot Dosimetry 153:241-5. 2013
  5. ncbi request reprint Managing patient dose in interventional cardiology
    Stephen Balter
    Columbia University, New York, New York, USA
    Catheter Cardiovasc Interv 70:244-9. 2007
  6. pmc Patient radiation dose audits for fluoroscopically guided interventional procedures
    Stephen Baiter
    Department of Radiology, Columbia University, New York, New York 10032, USA
    Med Phys 38:1611-8. 2011
  7. doi request reprint Fluoroscopically guided interventional procedures: a review of radiation effects on patients' skin and hair
    Stephen Balter
    Department of Medicine, Columbia University Medical Center, 627 W 165th St, New York, NY 10021, USA
    Radiology 254:326-41. 2010
  8. doi request reprint Radiation is not the only risk
    Stephen Balter
    Department of Radiology, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY 10032, USA
    AJR Am J Roentgenol 196:762-7. 2011
  9. ncbi request reprint The new Joint Commission sentinel event pertaining to prolonged fluoroscopy
    Stephen Balter
    Columbia University Medical Center, New York, NY 1032, USA
    J Am Coll Radiol 4:497-500. 2007
  10. doi request reprint Occupational health hazards in the interventional laboratory: time for a safer environment
    Lloyd W Klein
    Department of Medicine, Rush Medical College, Melrose Park, IL 60160, USA
    Radiology 250:538-44. 2009

Detail Information

Publications42

  1. ncbi request reprint Comparison of four techniques to estimate radiation dose to skin during angiographic and interventional radiology procedures
    Douglas W Fletcher
    Department of Radiology, National Naval Medical Center, Bethesda, Maryland, USA
    J Vasc Interv Radiol 13:391-7. 2002
    ..Peak skin dose (PSD) is known to be the most reliable estimate of risk to skin. The purpose of this study is to determine peak skin dose with use of real-time software measurements and to correlate other measures of dose with PSD...
  2. ncbi request reprint Burning to succeed?
    Stephen Balter
    Catheter Cardiovasc Interv 71:165. 2008
  3. pmc Methods for measuring fluoroscopic skin dose
    Stephen Balter
    Department of Medicine, Columbia University Medical Center, 630 West 168th St, New York, NY 10032, USA
    Pediatr Radiol 36:136-40. 2006
    ..This paper briefly reviews available technologies for measuring or estimating patient skin dose in the interventional fluoroscopic environment...
  4. doi request reprint On the acceptability of fluoroscopic systems for clinical use
    S Balter
    Department of Radiology, Columbia University, New York, NY, USA
    Radiat Prot Dosimetry 153:241-5. 2013
    ..The criteria proposed in EC RP 162 provide sufficient information about basic acceptability of interventional fluoroscopes and ideally, evaluations should be extended further to include specific clinical requirements...
  5. ncbi request reprint Managing patient dose in interventional cardiology
    Stephen Balter
    Columbia University, New York, New York, USA
    Catheter Cardiovasc Interv 70:244-9. 2007
    ..Exceeding this value triggers processes for clinical justification of radiation usage and patient follow-up. Slightly exceeding the significant dose threshold during a procedure should be highly unlikely to cause skin injury...
  6. pmc Patient radiation dose audits for fluoroscopically guided interventional procedures
    Stephen Baiter
    Department of Radiology, Columbia University, New York, New York 10032, USA
    Med Phys 38:1611-8. 2011
    ..The use of a conventional diagnostic reference level is not appropriate for FGI procedures. A similar but more detailed quality process for management of radiation dose in FGI procedures is described...
  7. doi request reprint Fluoroscopically guided interventional procedures: a review of radiation effects on patients' skin and hair
    Stephen Balter
    Department of Medicine, Columbia University Medical Center, 627 W 165th St, New York, NY 10021, USA
    Radiology 254:326-41. 2010
    ..If the same area of skin is likely to be exposed to levels higher than a few grays, the effects of previous irradiation should be included when estimating the expected tissue reaction from the additional procedure...
  8. doi request reprint Radiation is not the only risk
    Stephen Balter
    Department of Radiology, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY 10032, USA
    AJR Am J Roentgenol 196:762-7. 2011
    ..This article outlines aspects of radiation risk in the context of diagnostic imaging and presents two examples of consideration of radiation and nonradiation risks...
  9. ncbi request reprint The new Joint Commission sentinel event pertaining to prolonged fluoroscopy
    Stephen Balter
    Columbia University Medical Center, New York, NY 1032, USA
    J Am Coll Radiol 4:497-500. 2007
  10. doi request reprint Occupational health hazards in the interventional laboratory: time for a safer environment
    Lloyd W Klein
    Department of Medicine, Rush Medical College, Melrose Park, IL 60160, USA
    Radiology 250:538-44. 2009
    ....
  11. ncbi request reprint Radiation doses in interventional radiology procedures: the RAD-IR study: part II: skin dose
    Donald L Miller
    Department of Radiology, National Naval Medical Center, Bethesda, MD 20889 5600, USA
    J Vasc Interv Radiol 14:977-90. 2003
    ....
  12. doi request reprint Occupational health hazards in the interventional laboratory: progress report of the Multispecialty Occupational Health Group
    Donald L Miller
    Department of Radiology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889 5600, USA
    J Vasc Interv Radiol 21:1338-41. 2010
    ....
  13. doi request reprint Occupational health hazards in the interventional laboratory: time for a safer environment
    Lloyd W Klein
    Department of Medicine, Rush Medical College, 675 West North Avenue, Suite 202, Melrose Park, IL 60160, USA
    Catheter Cardiovasc Interv 73:432-8. 2009
    ....
  14. ncbi request reprint Radiation doses in interventional radiology procedures: the RAD-IR Study. Part III: Dosimetric performance of the interventional fluoroscopy units
    Stephen Balter
    Department of Medicine, Lenox Hill Hospital, New York, NY, USA
    J Vasc Interv Radiol 15:919-26. 2004
    ..To present the physics data supporting the validity of the clinical dose data from the RAD-IR study and to document the performance of dosimetry-components of these systems over time...
  15. doi request reprint Occupational health hazards in the interventional laboratory: progress report of the Multispecialty Occupational Health Group
    Donald L Miller
    Department of Radiology, National Naval Medical Center, Bethesda, Maryland 20889 5600, USA
    J Neurointerv Surg 2:245-8. 2010
    ....
  16. doi request reprint Special communication--occupational health hazards in the interventional laboratory: progress report of the multispecialty occupational health group
    Donald L Miller
    Department of Radiology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889, USA
    J Am Coll Radiol 7:679-83. 2010
    ....
  17. doi request reprint Clinical radiation management for fluoroscopically guided interventional procedures
    Donald L Miller
    Department of Radiology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889 5600, USA
    Radiology 257:321-32. 2010
    ..The authors recommend including radiation management as part of the departmental quality assurance program...
  18. doi request reprint The neurointerventional procedure room of the future: predicting likely innovations in design and function
    Alexander Norbash
    Department of Radiology, Boston University School of Medicine, 820 Harrison Avenue, FGH3, Boston, MA 02118, USA
    J Neurointerv Surg 3:266-71. 2011
    ....
  19. doi request reprint Capturing patient doses from fluoroscopically based diagnostic and interventional systems
    Stephen Balter
    Columbia University Medical Center, New York, NY 10032, USA
    Health Phys 95:535-40. 2008
    ..Data should be collected for every procedure where there is any possibility of a deterministic radiation injury. Appropriately sampled data may be sufficient for QA purposes and for estimating stochastic risk...
  20. ncbi request reprint Federal regulations (effective June 2006) require dose monitors on all new fluoroscopes: how will this help clinicians keep track of patient dose?
    Stephen Balter
    Columbia University Medical Center, New York, NY 10021, USA
    J Am Coll Radiol 4:130-2. 2007
  21. ncbi request reprint Patient skin reactions from interventional fluoroscopy procedures
    Stephen Balter
    1 Columbia University Medical Center, 173 Fort Washington Ave, HC 2 605, New York, NY 10032
    AJR Am J Roentgenol 202:W335-42. 2014
    ..This article presents relevant physics, technology, and radiobiology along with a summary of operational guidelines for radiation management in interventional fluoroscopy procedures...
  22. ncbi request reprint Occupational health hazards in the interventional laboratory: time for a safer environment
    Lloyd W Klein
    Department of Medicine, Rush Medical College, 675 West North Avenue, Suite 202, Melrose Park, IL 60160, USA
    J Vasc Interv Radiol 20:S278-83. 2009
    ....
  23. ncbi request reprint Radiation doses in interventional radiology procedures: the RAD-IR study: part I: overall measures of dose
    Donald L Miller
    Department of Radiology, National Naval Medical Center, Bethesda, MD 20889 5600, USA
    J Vasc Interv Radiol 14:711-27. 2003
    ..To determine patient radiation doses for interventional radiology and neuroradiology procedures, to identify procedures associated with higher radiation doses, and to determine the effects of various parameters on patient doses...
  24. ncbi request reprint Minimizing radiation-induced skin injury in interventional radiology procedures
    Donald L Miller
    Department of Radiology, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889 5600, USA
    Radiology 225:329-36. 2002
    ..For optimum effect, real-time knowledge of skin-dose distribution is invaluable. A trained operator using well-maintained state-of-the art equipment can minimize peak skin dose in all fluoroscopically guided procedures...
  25. doi request reprint Estimating radiation doses to the skin from interventional radiology procedures for a patient population with cancer
    Lawrence T Dauer
    Department of Medical Physics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 84, New York, NY 10065, USA
    J Vasc Interv Radiol 20:782-8; quiz 789. 2009
    ....
  26. doi request reprint Occupational health hazards in the interventional laboratory: time for a safer environment
    Lloyd W Klein
    Department of Medicine, Rush Medical College, 675 West North Avenue, Suite 202, Melrose Park, IL 60160, USA
    J Vasc Interv Radiol 20:147-52; quiz 53. 2009
    ....
  27. ncbi request reprint Influence of flat-panel fluoroscopic equipment variables on cardiac radiation doses
    Edward L Nickoloff
    Department of Radiology, College of Physicians and Surgeons, Columbia University and New York Presbyterian Hospital, MHB 3 265, 177 Fort Washington Avenue, New York, NY 10032, USA
    Cardiovasc Intervent Radiol 30:169-76. 2007
    ..To assess the influence of physician-selectable equipment variables on the potential radiation dose reductions during cardiac catheterization examinations using modern imaging equipment...
  28. pmc Patient radiation exposure during transcatheter aortic valve replacement procedures
    Benoit Daneault
    Columbia University Medical Center New York Presbyterian Hospital, New York, NY 10032, USA
    EuroIntervention 8:679-84. 2012
    ..To describe patient radiation utilisation during transcatheter aortic valve replacement (TAVR) on a series of consecutive patients...
  29. doi request reprint Occupational hazards of interventional cardiology
    Nathaniel R Smilowitz
    Center for Interventional Vascular Therapy, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY 10032, USA
    Cardiovasc Revasc Med 14:223-8. 2013
    ..This review highlights the occupational hazards of interventional procedures and provides a glimpse at the technologies and techniques that may reduce risks to operators in the catheterization laboratory. ..
  30. ncbi request reprint Anniversary paper: A sampling of novel technologies and the role of medical physicists in radiation oncology
    Stephen Balter
    Department of Medicine, Columbia University Medical Center, New York, New York 10032, USA
    Med Phys 35:5641-52. 2008
    ..While not comprehensive, the broad scope of developments and their impact hints at the importance of the medical physicist in advancing the field in the past, present, and future...
  31. pmc Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging
    Andrew J Einstein
    Department of Medicine, Cardiology Division, Columbia University Medical Center and New York Presbyterian Hospital, New York, NY 10032, USA
    JAMA 304:2137-44. 2010
    ....
  32. doi request reprint Quality improvement guidelines for preventing wrong site, wrong procedure, and wrong person errors: application of the joint commission "Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery" to the practice of inte
    John F Angle
    Department of Radiology, University of Virginia Health System, Charlottesville, Virginia, USA
    J Vasc Interv Radiol 19:1145-51. 2008
  33. doi request reprint Occupational radiation doses to operators performing cardiac catheterization procedures
    Kwang Pyo Kim
    Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892 7238, USA
    Health Phys 94:211-27. 2008
    ..Better standardization of dosimetric methods will facilitate future analyses aimed at determining how well medical radiation workers are being protected...
  34. ncbi request reprint ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: a report of the American College of Cardiology Foundation/American Heart Ass
    John W Hirshfeld
    Circulation 111:511-32. 2005
  35. ncbi request reprint ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures. A report of the American College of Cardiology Foundation/American Heart Ass
    John W Hirshfeld
    J Am Coll Cardiol 44:2259-82. 2004
  36. ncbi request reprint An evaluation of fluoroscopy time and correlation with outcomes after percutaneous coronary intervention
    Eugenia Nikolsky
    Columbia University Medical Center and the Cardiovascular Research Foundation, New York City, NY 10022, USA
    J Invasive Cardiol 19:208-13. 2007
    ..We evaluated short-term prognosis and resource utilization of consecutive patients treated with percutaneous coronary intervention (PCI) as a function of fluoroscopy time...
  37. ncbi request reprint A multicenter, randomized, dose-finding study of gamma intracoronary radiation therapy to inhibit recurrent restenosis after stenting
    Matthew J Price
    Division of Cardiovascular Diseases, Scripps Clinic, La Jolla, California, USA
    J Invasive Cardiol 18:169-73. 2006
    ....
  38. ncbi request reprint Quality improvement guidelines for recording patient radiation dose in the medical record
    Donald L Miller
    Interventional Radiology, National Naval Medical Center, Bethesda, Maryland, USA
    J Vasc Interv Radiol 15:423-9. 2004
  39. ncbi request reprint The management of imaging dose during image-guided radiotherapy: report of the AAPM Task Group 75
    Martin J Murphy
    Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia 23298, USA
    Med Phys 34:4041-63. 2007
    ..The end goal is to enable the design of image guidance regimens that are as effective and efficient as possible...
  40. ncbi request reprint Prognostic value of the flat fluoroscopic detector
    Stephen Balter
    Catheter Cardiovasc Interv 63:331. 2004
  41. ncbi request reprint Occupational hazards of interventional cardiologists: prevalence of orthopedic health problems in contemporary practice
    James A Goldstein
    Division of Cardiology, William Beaumont Hospital, 3601 West Thirteen Mile Road, Royal Oak, MI 49073, USA
    Catheter Cardiovasc Interv 63:407-11. 2004
    ..The results of the radiation queries were inconclusive. These results document that interventional cardiologists commonly suffer orthopedic disease, frequently leading to lost work days...
  42. ncbi request reprint Radiation shielding really works, when you use it
    Stephen Balter
    Catheter Cardiovasc Interv 67:24. 2006